Healthcare Provider Details

I. General information

NPI: 1194149302
Provider Name (Legal Business Name): HUIHONG ZHANG FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2014
Last Update Date: 12/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 S MICHIGAN AVE
CHICAGO IL
60616-2315
US

IV. Provider business mailing address

2525 S MICHIGAN AVE
CHICAGO IL
60616-2315
US

V. Phone/Fax

Practice location:
  • Phone: 312-567-2273
  • Fax: 312-567-6159
Mailing address:
  • Phone: 312-567-5000
  • Fax: 312-567-6159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041355848
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209010815
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: